Healthcare Provider Details

I. General information

NPI: 1437072097
Provider Name (Legal Business Name): A SOLACE PLACE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

811 NW SAINT HELENS AVE
CHEHALIS WA
98532-1500
US

IV. Provider business mailing address

811 NW SAINT HELENS AVE
CHEHALIS WA
98532-1500
US

V. Phone/Fax

Practice location:
  • Phone: 360-388-0971
  • Fax: 943-230-0696
Mailing address:
  • Phone: 360-388-0971
  • Fax: 943-230-0696

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: FOLAKE KANGNIDE
Title or Position: OWNER
Credential:
Phone: 360-388-0971